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spacer spacer  PROSPECTIVE STUDENT-ATHLETE INFORMATION FORM spacer
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Please Note: This form is not an official university application. This form is used by the coaching staff to gather interest in the various athletic programs from prospective student athletes. An online application and admission materials can be gained by visiting the Admission Center or calling 1-800-252-3166.

Fields marked by [*] are required for submission

Personal Information

* First Name
Middle Name
* Last Name
Preferred Name
Sex Male Female
Street Address
City
State
Zip
* Home Phone No.   
E-mail address

Academic Information

High School
Year of Graduation
High School City
High School State
Class Rank out of
Grade Point Average on a scale.
Test Scores
SAT:Verbal Math Composite
ACT:Composite
What other colleges are you considering?
If you have a specific athletic interest, please provide it here

Athletic Information

Position(s)
Honors
Name of Athletic Coach
Telephone Number of Coach

Interest Level

Please state your interest level in playing intercollegiate athletics


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 Southwestern University  1001 E University  Georgetown, TX 78626  512-863-6511  Fax 512-863-5788
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